Emergency Plan of Action Final Report Niger Epidemic (Measles & Meningitis)

Transcription

1 Emergency Plan of Action Final Report Niger Epidemic (Measles & Meningitis) DREF Operation n MDRNE015 Glide n EP NER Date of Issue: 2 May 2015 Date of disaster: 12 December 2015 Operation start date: 25 April 2015 Operation end date: 31 July 2015 Initial allocation: CHF 100,423 Additional allocation: n 1: 102,770 Total allocation: CHF 203,193 Total estimated Red Cross and Red Crescent response: CHF 203,198 Number of people affected: 281,000 Number of people assisted: 446,389 Host National Society: Red Cross Society of Niger Red Cross Red Crescent Movement partners actively involved in the operation: International Federation of Red Cross and Red Crescent Societies, Luxembourg Red Cross Other partner organizations actively involved in the operation: Government (Ministry of Public Health), Médecins Sans Frontières, United Nations Children s Fund and World Health Organization A. Situation analysis Description of the disaster Niger is a West African country located in the heart of the African meningitis belt, which stretches from Senegal to Djibouti. The hot and dry climate is favourable to the outbreak of meningitis epidemics generally between November and May. In April 2015, following an escalation in meningitis cases (from December 2015) an epidemic was officially declared by the Ministry of Public Health. At the same time, measles outbreak was also confirmed in the Northern region of the country: Agadez, Maradi and Zinder being the worst affected. On 2 May 2015, the International Federation of Red Cross and Red Crescent Societies (IFRC) released 100,428 Swiss franc from the Disaster Relief Emergency Fund (DREF) to support the Red Cross Society of Niger (NRCS) respond to the needs of the affected population. The DREF operation was intended to support 210,000 people (30,000 households) in Dosso and Niamey (meningitis response) and Agadez and Zinder (measles response) over 6 weeks period. NRCS volunteers transporting the patient to the treatment centre. Photo NRCS On 2 June 2015, an Operations Update was issued to extend the timeframe by 2 weeks and an additional allocation of 102,770 Swiss franc to expand the planned activities in response to the meningitis epidemic into 8 additional districts. In total, 10 districts Niamey I, II III, IV, and V, Doutchi, Gaya, Fillingué, Kollo, Ouallam with awareness raising/ sensitization campaigns, as well as preparedness for response in 10 other districts that had not been affected, but were at high risk. Following the stabilization of the measles epidemic, and indications that the number of cases was reduced, it was agreed that the planned activities in Agadez and Zinder would be cancelled. On 10 July 2015, an

2 P a g e 2 Operations Update was issued to extend the timeframe by 3 weeks (New end date: 31 July 2015) to enable the completion of a lessons learned workshop. The DREF operation was replenished by the Belgian Red Cross / Government and Canadian Red Cross / Government. The major donors and partners of the DREF include: the Red Cross Societies and governments of Australia, Austria, Belgium, Canada, Denmark, Ireland, Italy, Japan, Luxembourg, Monaco, the Netherlands, Norway, Spain, Sweden and the USA, as well as DG ECHO, the UK Department for International Development (DFID) the Medtronic and Zurich Foundations and other corporate and private donors. The Niger Red Cross Society would like to extend many thanks to all partners for their generous contributions. Summary of response Overview of Host National Society From the beginning of both epidemics, the NRCS monitored the situation in collaboration with the Ministry of Public Health (MoPH) and its volunteer network across the country. The NRCS is also a member of the National Crisis Committee (established by the MoPH) that met regularly to monitor the epidemiological situation. Due to its long standing experience in managing the epidemics and other disasters, the MoPH called on the assistance of the NRCS to conduct social mobilization in the affected areas. In 2014/15, an Emergency Appeal (MDRNE013) was launched to respond to population movement in the Diffa region of the country, which is on-going and a DREF operation was carried out in response to a cholera outbreak (MDRNE014) in Diffa region, which was completed on 24 May Following the release of the DREF allocation for the MDRNE015 Niger Epidemic (Measles and Meningitis) operation, the following was achieved: In total, 670 volunteers were mobilized to provide awareness raising / sensitization on the prevention of meningitis either in preparation for an imminent outbreak (250) or to respond directly to an existing outbreak (420) across 8 regions. Table 1: Deployment of volunteers: Region District Preparedness phase Niamey Niamey I Niamey II Niamey III Niamey IV Niamey V Response phase Door to door Mass Total (By region) Dosso Dosso Doutchi 25 0 Gaya 25 0 Tillabery Kollo Tera 25 0 Ouallam 25 0 Fillingé 25 0 Agadez Tahoua

3 P a g e 3 Maradi Zinder Diffa TOTAL In total, 446,389 people (49,739 households) have been reached through awareness raising / sensitization on the prevention of meningitis, which exceeded the intended target (281,000 people / 40,000 households). Refer to Proposed strategy and operational framework sections for more detailed information on the activities planned; and achievements through this DREF operation. Table 2: Number of households/people reached by awareness raising / sensitization (households, mass and caravans) Overview of Red Cross Red Crescent Movement in country The IFRC Niger Country Representation, Sahel representation and Africa zone office provided technical assistance throughout the DREF operation. On 18 April 2015, a Disaster Management Information System (DMIS) alert was issued, which was followed by an Operational Strategy Call involving participants from all levels (IFRC Niger, Sahel, Africa zone and Geneva). It was agreed that an allocation should be made from the DREF to support the NRCS respond to the situation. Following the DREF allocation, the IFRC Secretariat team liaised with the region and the zone to provide adequate support to the NRCS (through the deployment of a Health Emergency Officer from the Secretariat). In addition, the IFRC Sahel health manager conducted a week mission to support the country team in coordination and technical support on the epidemic. Other Movement partners in country include: the International Committee of the Red Cross (ICRC), as well as Partner National Societies (PNS) comprising the Belgian Red Cross, French Red Cross, Iranian Red Cross, Irish Red Cross, Luxembourg Red Cross, Qatar Red Cross and Spanish Red Cross, which are based in the capital of Niamey. Monthly coordination meetings were regularly held with all Movement partners. Overview of non-rcrc actors in country A National Task Force was established, which was led by the MoPH, and met on a weekly basis. In addition, the MoPH also established a National Crisis Committee to also monitor the situation. On 15 April, 2015, the MoPH carried out a press conference, which provided information on the situation and the actions carried out, in progress and preventive measures in regards to meningitis. On 21 April 2015, the Prime Minister officially declared the epidemic and launched an international appeal requesting partners to assist with the response, specifically with the provision of vaccines (for meningitis). The MoPH has worked in collaboration with other organizations to mobilize children for measles vaccinations. Other organizations involved in the response include CDC Atlanta, Médecins Sans Frontières (MSF), United Nations Children s Fund (UNICEF) and the World Health Organization WHO), which have participated in joint field missions with the MoPH to assess the situation, and provided medical staff and treatment facilities.

4 P a g e 4 Needs analysis and scenario planning Please refer to Operations Update no.1 for information on Needs analysis and scenario planning, which remained unchanged until the end of the DREF operation. B. Operational strategy and plan Overall Objective To contribute to the reduction of the spread of meningitis among the population at risk in 10 districts (Doutchi, Fillingué Gaya, Kollo, Ouallam Niamey I, II III, IV, and V) and prepare for an imminent outbreak* in 15 other districts. Proposed strategy Following the issue of Operations Update no.1 and 2, a revised strategy was developed and the following activities prioritized within this DREF operation: Refresher training of volunteers (250) in preparedness for epidemic response, in readiness of an imminent response to meningitis should cases occur in other districts across the country was planned Refresher training of volunteers (200) on the prevention and control of meningitis (as well as on surveillance and referral, the use of SMS, nutritional screening techniques and hygiene promotion) was planned. Procurement of 50 cell phones to support surveillance at community level, and enable suspected cases to be reported quickly via SMS was planned. Training of supervisors (50) on supporting volunteers with the implementation of the activities planned. Training of volunteers (175 (Niamey I (29), Niamey III (45), Niamey IV (35) and Niamey V (66)) on mass sensitization techniques (five days) was planned. Deployment of a Regional Disaster Response Team (RDRT) member experienced in epidemic response to support the effective implementation of the DREF operation, was planned. Lessons learned workshop, which will be used to inform future operations. Operational support services Please refer to Operations Update no.1 for information on Operational support services planning, which remained unchanged with the exception of for Human Resources and Planning, monitoring, evaluation and reporting (PMER), until the end of the DREF operation. Human resources Due to the distances between regions and the urgent need to address the outbreak and prepare for an imminent response, the NRCS established 4 training teams to move through the regions (Agadez, Diffa, Maradi, Tahoua, and Zinder) and provide the training. Each team was headed by a head of department assigned to provide dedicated support to the DREF operation. In addition, the NRCS was able to mobilize an increased number of volunteers than was originally planned, which allowed for the targets agreed in the EPoA to be exceeded. Please refer to the Operational Framework section for further information. PMER A lessons learned workshop was carried out, with a presentation shared which included the achievements of the National Society, the areas of success, challenges as well as areas to be improved. Overall, it was felt that the implementation of this operation was very successful both the volunteers and the communities (see example in the table below):

5 P a g e 5 Table 3: Lessons learned workshop outcomes Success Challenges Measures for the futures Volunteers and staff commitment, Motivating, capacity building and protective measures for the volunteers (training, equipment, insurance, vaccines, per diem, visibility), Sensitisation approaches (radio, community leaders, mass mobilisation, cells SMS and caravans) The RC Movement acceptability by the community, local authorities and health structures, Red cross expertise in social and community mobilisation Good reputation from partners, The trained volunteers will remain community resources and serve to the community to manage other risks. Risky and difficult environment (epidemic, sunny period, distance) Community frustration due to the lack of vaccines (leading to fatalities), Although the epidemic has stopped, a big number of people has not been vaccinated and are exposed in case the epidemic breaks again, Health structures still need a strong support to enable them to resist to the epidemics, This epidemic worsened the economic situation of the population, especially those who were already vulnerable Reinforce the preparedness and epidemic management volunteers teams, Operationalise community emergency health response teams NDRT and CDRT, Update and apply epidemic and pandemic contingency plan, Train community based events surveillance teams and equip them with tools (cells, community based approaches,..) Improve the communication and collaboration with the health structures, Improve the coordination among stakeholders. C. DETAILED OPERATIONAL PLAN Quality Programming / Areas Common to all Sectors Quality Programming / Areas Common to all Sectors Outcome 1: Continuous assessment, analysis and coordination to inform the design and implementation of the DREF operation Output 1.1: Planning, monitoring and reporting on activities planned within the DREF operation in the areas of implementation Activities planned Deployment of IFRC emergency health officer to support planning and implementation of the DREF operation (Target: 1 mission) Branch monitoring of activities planned in the areas of implementation (Agadez, Dosso, Niamey and Zinder) NHQ monitoring of activities planned in the areas of implementation (Agadez, Dosso, Niamey and Zinder) IFRC monitoring of activities planned in the areas of implementation (Agadez, Dosso, Niamey and Zinder) Lessons learned workshop Achievements Following the DREF allocation, an IFRC emergency health officer (from the Secretariat) was deployed to support the IFRC Niger country representation and NRCS with planning the implementation of the DREF operation. The IFRC emergency health officer participated in several meetings organised by the MoPH, WHO and other partner organisations, and conducted field missions both in Niamey and out of Niamey (Dosso and Tillabery) Branch committees were active in monitoring the situation and reporting it to the NHQ level; and were also been in contact with MoPH structures in their respective zones to ensure coordination and that assistance is complementary Regular NHQ monitoring of the situation was carried out by the NRCS health department, with support from

6 the NRCS Secretary Executive. P a g e The IFRC Niger country representation monitored the situation and shared information with other Movement partners. The IFRC country representation through the country representative and operations manager also participated in the epidemic related meetings, as well as carried out assessments and monitoring activities At the end of the DREF operation, a lessons learned workshop was carried out (on 31 July 2015), which involved 2 representatives from the volunteers in each of the districts, the supervisors, Partner National Societies (PNS), and some stakeholders (e.g. MoPH) from the field. The lessons learned workshop focused on internal Red Cross Movement organisation and evaluation. The MoPH has organised a similar workshop at the national level, so there was no need to gather external stakeholders for the same activity. Please refer to PMER section for further information. Challenges Please refer to PMER section. Lessons Learned Please refer to PMER section. Early warning and emergency response preparedness Early warning and emergency response preparedness Outcome 2: Immediate risk of meningitis to the health of the population is reduced through preparedness activities in 10 districts over a period of 8 weeks Output 2.1: Capacity of Niger Red Cross Society to prepare for potential meningitis response is strengthened Activities planned Refresher training of volunteers in preparedness for epidemic response (Target: 250 volunteers) Achievements In total, 250 volunteers received refresher training in preparedness for epidemic response, in readiness for an imminent response in other districts across the country, which equated to 100 per cent of the intended target (250); and as such implementation is also 100 per cent. The volunteers were selected as follows: Agadez (35), Diffa (35), Dosso (25), Maradi (35), Niamey (25), Tahoua (35), Tillabery (25) and Zinder (35). Each trained team performed two simulation sensitizing sessions; one (1) door-to-door and one (1) in public areas (school, market or Mosque). Tents was been installed in some locations to protect people during awareness sessions Challenges Please refer to PMER section. Lessons Learned Please refer to PMER section. Health and Care Health and Care Outcome 3: Immediate risk of meningitis to the health of the population is reduced through prevention and control activities in affected districts district over a period of 8 weeks Output 3.1: Capacity of Niger Red Cross Society to respond to the meningitis epidemic in the affected area is strengthened Activities planned Refresher training for volunteers on prevention and control of meningitis, MUAC, SMS and HP (Target: 200 volunteers) Training of supervisors on management of volunteers (Target: 50 supervisors)

7 3.1.3 Procure/equip volunteers (and supervisors) with protective equipment kits (hand gels, gloves and masks) (Target: 415 kits) Procure/equip volunteers with cell phones for SMS surveillance and referral (Target: 50 cell phones) Training of volunteers in mass sensitization (Target: 175 volunteers) Achievements P a g e 7 In total, 420 volunteers received refresher training on the prevention and control of meningitis, which equates to 210 per cent of the intended target (200) In total, 50 supervisors were trained to coordinate the volunteers activities in the communities, which equates to 100 per cent of the intended target (50). Please note that the supervisors have been identified among the initial trained volunteers In total, 420 volunteers involved in the response activities planned have been equipped with protection materials (hand gels, gloves and masks). In addition, 305 volunteers and personnel (IFRC and NRCS) were vaccinated against meningitis, with the remaining 115 volunteers vaccinated in their communities In total, 50 phones have been procured and provided to the volunteers, supervisors and health centres to enable a rapid communication when new cases were detected, which equates to 100 per cent of the intended target (50) In total, 175 volunteers received training on mass sensitization, which equates to 100 per cent of the intended target (175). Output 3.2: Target population in the affected areas are provided with sensitization to improve the knowledge and practices on the prevention and control of meningitis (New target: 281,000 people / 40,000 households people) Activities planned Conduct awareness raising / sensitization campaigns for meningitis prevention and control in the communities (Target: 281,000 people / 40,000 households) Nutritional (MUAC) screening in children under 5 combined with the sensitization activities in the communities Referrals of identified suspected meningitis SAM & MAM cases to management centres via SMS Conduct awareness raising / sensitization campaigns for meningitis prevention and control in the treatment centres(target: 10 volunteers per day by treatment centre) Conduct awareness raising / sensitization campaigns for meningitis prevention and control on the vaccination sites (Target: 10 volunteers per day by site) Achievements In total, 446,389 people (49,739 households) have been reached through awareness raising / sensitization campaigns for meningitis prevention and control including door-to-door and caravans, which equates to 158 per cent of the intended target (281,000 people / 40,000 households). During the DREF operation, the volunteers visited more than 200 villages and nomadic camps. Please refer to Table 2: Number of households/people reached by awareness raising / sensitization (households, mass and caravans), which combines the awareness organised in mass, door to door, on vaccination sites and through caravans. In total, 13 radio stations were contracted to broadcast awareness messages (in local languages) on the prevention and control of meningitis three times per day for a period of two months. Please refer to Table 2: Number of households/people reached by awareness raising / sensitization Nutritional screening (MUAC) was carried out by volunteers during awareness raising / sensitization campaigns No suspected meningitis SAM and MAM cases have been identified / referred to management centres. In total, 2,081 people have been reached through awareness raising / sensitization campaigns for meningitis prevention and control in the (Lazaret I and Lazaret II) treatment centres by 28 volunteers that have been working on rotation. In addition, 468 patients were transported to and from and out the hospitalization blocks and 50 dead bodies transported to the centres mortuary. Please note that the volunteers were also responsible for hygiene in and out the hospitalization blocks, providing water to the patients, cleaning, wastage management and the disinfection of toilets. Awareness raising / sensitization campaigns for meningitis prevention and control on the vaccination sites (Kollo and Tera) have been achieved as planned and have been completed in July 2015 due to the delay of vaccination

8 P a g e 8 programs. Challenges Please refer to PMER section. Lessons Learned Please refer to PMER section. D. THE BUDGET The DREF allocation was 203,198 Swiss franc of which 29,166 Swiss franc was spent. A balance of 4,834 Swiss franc and will be returned: Water, Sanitation & Hygiene was overspent by 126 Swiss franc; and was due to the need to procure additional anti-bacterial gels and liquid soaps for volunteers and staff. Medical & First Aid was underspent by 2,330 Swiss franc, which equates to 14.5 per cent; and was due to a reduction in the number of volunteers requiring immunization as many received this from the Government in their home communities. Teaching Materials was underspent by 22,896 Swiss franc, which equates to 89 per cent; and was due to a reduction in the trainings required after it was identified that the epidemic was beginning to become under control. Utensils & Tools was overspent by 2,031 Swiss franc; and was due to procure additional materials for the sensitization caravans. Other Supplies & Services was overspent 316, which equates to 41 per cent; and was due to additional costs related to the collection of data by volunteers involved in community surveillance using cell phones (mobile data credit etc.) Distribution & Monitoring was underspent by 6,600 Swiss franc, which equates to 100 per cent; and was due to the reduction in monitoring required after it was identified that the epidemic was beginning to become under control. Transport & Vehicle Costs was overspent by 5,440 Swiss franc, which equates to 114 per cent; and was due to the need to mobilize five vehicles (and related costs for fuel, maintenance and tax) for the DREF operation in order to enable the most remote communities. International Staff was underspent by 4,987 Swiss franc, which equates to 83 per cent; and was due to the deployment of a RDRT not being carried out. National Staff was overspent by 1,827 Swiss franc; and was due to the need for IFRC national staff to support the National Society with the supervision of the DREF operation across all areas of implementation given a RDRT was not deployed, and the related costs that this then incurred (e.g. per diem). National Society Staff was overspent by 8,488 Swiss franc, which equates to 319 per cent; and was due to need to mobilize additional National Society staff beyond what was originally budgeted to support the implementation of the DREF operation across all areas of implementation, and the related costs that this incurred (per diem, contribution to salary etc.). Volunteers was underspent by 22,880 Swiss franc, which equates 28 per cent; and was due a reduction in the number of volunteers that needed to be mobilized after it was identified that the epidemic was beginning to become under control. Workshops & Training was underspent by 7,145 Swiss franc, which equates to 24 per cent; and was due to a reduction in the trainings required after it was identified that the epidemic was beginning to become under control. Travel was underspent by 5,664 Swiss franc, which equates to 47 per cent; and was due to deployment of a RDRT not being carried out, as well as over budgeting of costs related to the deployment of IFRC emergency health technical support (from Geneva) at the onset of the DREF operation. Information & Public Relations was overspent by 502 Swiss franc; and was due to the need to provide increased visibility with external stakeholders (general public, other organizations etc.) following the revision / expansion of the DREF operation. Office Costs was overspent by 408 Swiss franc, which equates to 19 per cent; and was due to under budgeting of costs for paper, printing, photocopying etc. at the onset of the DREF operation.

9 P a g e 9 Financial Charges accrued a positive variance of 11,920 Swiss franc, which was due to a favourable FOREX between the CHF and CFA. Contact information For further information specifically related to this operation please contact: Niger Red Cross Society: Ali Bandiaré, President; Tel: ; mailto: crniger@intnet.net IFRC Africa Region: Farid Abdulkadir, Head of Disaster Management Unit, Nairobi, Kenya; phone ; farid.aiywar@ifrc.org In Geneva: Cristina Estrada, Operations Support, Phone: , cristina.estrada@ifrc.org Regional Logistics Unit: Rishi Ramrakha; Phone , rishi.ramrakha@ifrc.org For Resource Mobilization and Pledges: IFRC West and Central Africa: Elisabeth Seck, Resource Mobilization Officer; phone: ; elisabeth.seck@ifrc.org For Performance and Accountability (planning, monitoring, evaluation and reporting) IFRC Africa Region: Robert Ondrusek, PMER Coordinator, Nairobi, phone: , robert.ondrusek@ifrc.org How we work All IFRC assistance seeks to adhere to the Code of Conduct for the International Red Cross and Red Crescent Movement and Non-Governmental Organizations (NGOs) in Disaster Relief and the Humanitarian Charter and Minimum Standards in Disaster Response (Sphere) in delivering assistance to the most vulnerable. The IFRC s vision is to inspire, encourage, facilitate and promote at all times all forms of humanitarian activities by National Societies, with a view to preventing and alleviating human suffering, and thereby contributing to the maintenance and promotion of human dignity and peace in the world. The IFRC s work is guided by Strategy 2020 which puts forward three strategic aims: 1. Save lives, protect livelihoods, and strengthen recovery from disaster and crises. 2. Enable healthy and safe living. 3. Promote social inclusion and a culture of non-violence and peace.

10 Disaster Response Financial Report MDRNE015 - Niger - Measles & Meningitis Timeframe: 01 May 15 to 31 Jul 15 Appeal Launch Date: 01 May 15 Final Report Selected Parameters Reporting Timeframe 2015/5-2016/3 Programme MDRNE015 Budget Timeframe 2015/5-2015/7 Budget APPROVED Split by funding source Y Project PNE034 Subsector: * All figures are in Swiss Francs (CHF) Page 1 of 3 I. Funding Raise humanitarian standards Grow RC/RC services for vulnerable people Strengthen RC/ RC contribution to development Heighten influence and support for RC/RC work Joint working and accountability A. Budget 203, ,198 TOTAL Deferred Income B. Opening Balance Income Other Income DREF Allocations 203, ,193 C4. Other Income 203, ,193 C. Total Income = SUM(C1..C4) 203, ,193 D. Total Funding = B +C 203, ,193 * Funding source data based on information provided by the donor II. Movement of Funds B. Opening Balance Raise humanitarian standards Grow RC/RC services for vulnerable people Strengthen RC/ RC contribution to development Heighten influence and support for RC/RC work Joint working and accountability C. Income 203, ,193 E. Expenditure -123, ,743 F. Closing Balance = (B + C + E) 79,450 79,450 TOTAL Deferred Income Final Report Prepared on 21/Apr/2016 International Federation of Red Cross and Red Crescent Societies

11 Disaster Response Financial Report MDRNE015 - Niger - Measles & Meningitis Timeframe: 01 May 15 to 31 Jul 15 Appeal Launch Date: 01 May 15 Final Report III. Expenditure Account Groups Budget Raise humanitarian standards Grow RC/RC services for vulnerable people Strengthen RC/ RC contribution to development Expenditure Heighten influence and support for RC/ RC work Joint working and accountability TOTAL Variance A B A - B BUDGET (C) 203, ,198 Relief items, Construction, Supplies Water, Sanitation & Hygiene Medical & First Aid 16,000 13,670 13,670 2,330 Teaching Materials 25,700 2,804 2,804 22,896 Utensils & Tools 2,031 2,031-2,031 Other Supplies & Services 769 1,085 1, Total Relief items, Construction, Sup 42,469 19,717 19,717 22,753 Logistics, Transport & Storage Distribution & Monitoring -6,600-6,600 6,600 Transport & Vehicles Costs 4,780 10,220 10,220-5,440 Total Logistics, Transport & Storage 4,780 3,620 3,620 1,160 Personnel International Staff 6,000 1,013 1,013 4,987 National Staff 1,827 1,827-1,827 National Society Staff 2,660 8,488 8,488-5,828 Volunteers 81,534 58,653 58,653 22,880 Total Personnel 90,194 69,982 69,982 20,212 Workshops & Training Workshops & Training 26,920 19,775 19,775 7,145 Total Workshops & Training 26,920 19,775 19,775 7,145 General Expenditure Travel 12,000 6,336 6,336 5,664 Information & Public Relations Office Costs 2,100 2,508 2, Communications 6,000 5,672 5, Financial Charges 6,333-11,920-11,920 18,254 Total General Expenditure 26,433 3,097 3,097 23,337 Indirect Costs Selected Parameters Reporting Timeframe 2015/5-2016/3 Programme MDRNE015 Budget Timeframe 2015/5-2015/7 Budget APPROVED Split by funding source Y Project PNE034 Subsector: * All figures are in Swiss Francs (CHF) Programme & Services Support Recove 12,402 7,552 7,552 4,849 Total Indirect Costs 12,402 7,552 7,552 4,849 TOTAL EXPENDITURE (D) 203, , ,743 79,455 VARIANCE (C - D) 79,455 79,455 Page 2 of 3 Final Report Prepared on 21/Apr/2016 International Federation of Red Cross and Red Crescent Societies

12 Disaster Response Financial Report MDRNE015 - Niger - Measles & Meningitis Timeframe: 01 May 15 to 31 Jul 15 Appeal Launch Date: 01 May 15 Final Report IV. Breakdown by subsector Selected Parameters Reporting Timeframe 2015/5-2016/3 Programme MDRNE015 Budget Timeframe 2015/5-2015/7 Budget APPROVED Split by funding source Y Project PNE034 Subsector: * All figures are in Swiss Francs (CHF) Page 3 of 3 Business Line / Sub-sector BL2 - Grow RC/RC services for vulnerable people Budget Opening Balance Income Funding Expenditure Closing Balance Disaster response 203, , , ,743 79,450 Subtotal BL2 203, , , ,743 79,450 GRAND TOTAL 203, , , ,743 79,450 Deferred Income Final Report Prepared on 21/Apr/2016 International Federation of Red Cross and Red Crescent Societies